| Name: | BLACKBURN DOMENE & BURCHETT, PLLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 30 Dec 2002 (22 years ago) |
| Organization Date: | 30 Dec 2002 (22 years ago) |
| Last Annual Report: | 12 Feb 2025 (2 months ago) |
| Managed By: | Members |
| Organization Number: | 0551002 |
| Industry: | Legal Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 40202 |
| City: | Louisville |
| Primary County: | Jefferson County |
| Principal Office: | SUITE 3000, 614 W. MAIN ST., LOUISVILLE, KY 40202 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLACKBURN DOMENE & BURCHETT PLLC CBS BENEFIT PLAN | 2023 | 611289304 | 2024-12-30 | BLACKBURN DOMENE & BURCHETT PLLC | 15 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 846429706 |
| Plan administrator’s name | JOSEPH HSU |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2024-12-30 |
| Name of individual signing | JOSEPH HSU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 541110 |
| Sponsor’s telephone number | 5025841600 |
| Plan sponsor’s address | 614 W MAIN STREET, SUITE 3000, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-27 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 541110 |
| Sponsor’s telephone number | 5025841600 |
| Plan sponsor’s address | 614 W MAIN STREET, SUITE 3000, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-29 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 541110 |
| Sponsor’s telephone number | 5025841600 |
| Plan sponsor’s address | 614 W MAIN STREET, SUITE 3000, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-14 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Diane M Laughlin | Member |
| Jennifer K Adams | Member |
| Bryce L Cotton | Member |
| David Domene | Member |
| Charles M Rutledge | Member |
| Name | Role |
|---|---|
| J. WALKER STITES, III | Organizer |
| Name | Role |
|---|---|
| DAVID DOMENE | Registered Agent |
| Name | Action |
|---|---|
| BLACKBURN, HUNDLEY & DOMENE, PLLC | Old Name |
| Name | File Date |
|---|---|
| Annual Report | 2025-02-12 |
| Annual Report | 2024-02-28 |
| Annual Report | 2023-03-16 |
| Annual Report | 2022-03-07 |
| Annual Report | 2021-04-14 |
| Annual Report | 2020-02-14 |
| Annual Report | 2019-04-30 |
| Registered Agent name/address change | 2019-04-30 |
| Annual Report | 2018-04-25 |
| Annual Report | 2017-04-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9922537106 | 2020-04-15 | 0457 | PPP | 614 W MAIN ST, LOUISVILLE, KY, 40202 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Branch | Date of Service | Fiscal Year | Cabinet | Department | Classification | Item Name | Amount |
|---|---|---|---|---|---|---|---|
| Executive | 2025-01-09 | 2025 | Cabinet of the General Government | Board Of Medical Licensure | Claims | Claims | 72 |
| Executive | 2024-11-14 | 2025 | Cabinet of the General Government | Board Of Medical Licensure | Claims | Claims | 36 |
Sources: Kentucky Secretary of State
